MARIYA I MANOVA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

ACTIVE

Business

First Name

MARIYA

Middle

Last Name

MANOVA

Suffix

DMD

Business Name

MARIYA I MANOVA DMD

Original Issue Date

11/29/2007

Effective Date

08/22/2024

Expiration Date

09/30/2027

City

DARIEN

State

Zip

60561

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/22/2024